I have to say that it is a lot of extra cost, and some of the family members don't readily have access to a medical practitioner who can make that assessment. They have to travel with their family to another location, and often the travel is expensive. They have to stay overnight, then they have to pay for the medical. Having to do a number of different repeated medicals is very onerous for families. This doesn't help them in that sense.
My other question is.... You say they will be assessed up front. The announcement made it sound like all they have to do now is to meet their two-year work requirement, and then the family would be able to come. In reality, there's this one change that is important on the medical side.
The other piece is that even if you give these individuals their work permits—for the adults—will they have to renew their work permits on a regular basis, or will they be given a work permit for the two years they have for work here? That's also an onerous and expensive process.